Getting a Private Diagnosis For ADHD
Communication can be a challenge for those with ADHD, especially with co-workers and supervisors. This can make it difficult for them to be successful in school and at work.
The GP can recommend patients to private professionals who are able to conduct an ADHD assessment. It's important that you check with your GP whether they'll sign a shared-care agreement prior to beginning.
The Assessment
In the UK because of the lengthy NHS waiting times, many people suffering from ADHD prefer to have their assessments conducted and prescriptions made privately. However, as this Panorama investigation reveals, not all private clinics are regulated and may be handing out incorrect diagnoses.
Only psychiatrists can diagnose ADHD in adults and prescribe medication. Counsellors and other mental health professionals are not able to diagnose ADHD.
The majority of private assessment companies require you to fill out several questionnaires and forms prior your appointment. They will go through these forms prior to your appointment. You should bring these forms and questionnaires with you, as well as any other documents or information that may be helpful. For instance, if you have been recommended to them by your GP it is important to bring them along with you.
After your doctor has reviewed your questionnaires and has a look at your medical records, they will set up an appointment with your to discuss the results and their findings. Bring a list of your symptoms with you (and any documentation) because this information will be used to help them make an informed diagnosis. They will also discuss with you about your current life and
how to diagnosis adhd in adults adhd diagnosis private cost has affected you so far. They might suggest you speak to a close family member about your issues and their impact on your daily life.
During this period your psychiatrist will discuss whether or not they believe you might have ADHD and the best treatment options for you. You will receive a thorough written report if they believe that you have ADHD. They will discuss with you whether they believe you suffer from ADHD and determine whether it is better to discuss this diagnosis with your GP. This way, both parties can be on the the same page with regards to your condition, treatment and management. It is recommended to present this report to your GP for discussion in the event that you need to have them prescribe medication under the terms of a Shared Care agreement with your psychiatrist. You should also inform the DVLA that your driving ability is affected by ADHD.
Diagnosis
If you're thinking about having a private diagnosis, it's important to understand what the process involves. During the assessment you'll most likely meet a psychiatrist or a psychologist as they are the only healthcare providers in the UK qualified to diagnose ADHD. The test will include an extensive examination of your symptoms and how they affect your life. Your mental health professional will ask questions regarding your family history and any other issues you're struggling with.
Your specialist will compare your symptoms to the criteria set forth by the American Psychiatric Association for ADHD in adults. He or she will, for example determine if you experience difficulties paying attention or following instructions, and if your hyperactivity makes you struggle when it comes to tasks. Your specialist will also need to know if you've been struggling with these symptoms since your childhood. You may need to inquire with your teachers or parents when the symptoms first started.
The specialist will conduct tests like QbCheck to determine if you suffer from
adhd diagnosed in adulthood symptoms. They will also conduct a clinical interview and ask you to take a number of other assessments. This could take as long as 2 sessions.
During the interview, your doctor will ask you to provide examples of how your issues affect your daily life. The psychologist or psychiatrist will also look into your family history as well as any other issues you're experiencing, such as depression.
It's important to choose the most appropriate therapist for your assessment. A reputable clinic, like Harley Psychiatrists in London, will conduct a thorough examination to find out whether you suffer from ADHD. They will also provide you with a range tailored treatment options.
Private providers could be diagnosing ADHD patients too quickly, and without a thorough evaluation. BBC's Panorama program recently exposed a clinic which diagnosed a patient as having ADHD following a video-call, and offered him powerful medications.
A private diagnosis will not be accepted by the NHS. Your GP won't sign a document transferring your medication from the NHS to your GP. This is because a lot of GPs lack the knowledge skills and experience to diagnose ADHD.
Medication
The process of obtaining an adult diagnosis of ADHD is complicated and requires gatekeepers. The knowledge and attitudes of these individuals can affect the ability for help-seekers to access treatment.
You might want to think about the possibility of a private diagnosis if you're GP does not want to refer you to an NHS ADHD assessment or if you're unhappy with the time it takes to wait. Private assessments can cost as much as PS800. They consist of an interview with a psychiatrist and a report. The cost can be prohibitive for some, however it is possible to sign a shared care agreement with your doctor that allows you to pay for the NHS prescription cost and then see an individual doctor for treatment.
There is concern, however, that some private providers are over-diagnosing
adhd diagnosis and relationships especially through online clinics. In the recent BBC Panorama "expose", a number cases were highlighted where online assessments were not conducted properly. People who are addicted to alcohol or drugs often show symptoms that are similar to ADHD. These symptoms are known as comorbid and can include anxiety or depression.
Before taking stimulants to treat this condition (methylphenidate or amphetamines) it is crucial to get a psychiatric diagnosis and evaluation. These drugs are classified as class B and can cause serious problems within the body if they are not taken according to prescription. They also pose a substantial risk of addiction.
Many people who have an history of drug or alcohol abuse can reduce their symptoms by changing their environment, delegating tasks, and hiring assistants. It is important to keep in mind, however, that these actions are not a substitute for a formal diagnosis and a psychiatric assessment for the purposes of the Equality Act.
Psychologists and counsellors are able to provide an ADHD assessment, but they aren't able to prescribe medication. In certain cases, a psychiatrist or psychiatric nursing can provide this assessment, but only if the person is trained in the process of diagnosing and is licensed as a medical professional.
Some people aren't diagnosed as ADHD by their GP because they believe that they do meet the criteria, or that another diagnosis would better explain the person's issues. This is not necessarily a negative thing but it can be frustrating when the symptoms are troubling and impact on your daily routine.
Therapy
A private diagnosis of ADHD does not mean that therapists will be less strict or abide by the rules more than if they worked within NHS guidelines. Patients who are treated privately are still required to undergo a thorough assessment that is based on the highest standards of practice and National Institute of Clinical Excellence guidelines. If a private healthcare professional is found to have overdiagnosed ADHD, they are likely to be disciplined by appropriate authorities.
Many adults with ADHD benefit from cognitive behavior therapy (CBT) as well as mindfulness techniques.
